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Provisional diagnosis:Common cold (Acute Coryza)

 This is highly infectious Upper Respiratory Tract InfectionCommon viral causes are:• Rhinovirus• Coronavirus• Parain!uenza•

Respiratory "yncytial #irus• Adenovirus• In!uenza

 Typical clinical features:• $alaise and tiredness• "ore% runny nose• "neezing• "ore throat• "light fever• &ther possi'le symptoms : headache% cough and

hoarseness of voice

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ierential iagnosis

Acute Bronchitis

Dengue

Streptococcus B infection

Serious Infection not to be missed:

Pneumonia

Influenza

Tuberculosis

8/18/2019 Fever Case Mx

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Red !ags of fever

• High fever

• Repeated rigors

• Drenching night sweats

• Severe myalgia (sepsis)

• Severe pain anywhere (sepsis)

• Severe sore throat or dysphagia

(Haemophilus influenzae epiglottitis)

• Altered mental state

• Incessant vomiting

• Unexplained rash

• Jaundice

• Marked pallor

• Tachycardia

• Tachypnoea

8/18/2019 Fever Case Mx

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Investigation

Full Blood Count

Wbc: 4.8x10̂3

Rbc: 4.8x10̂3

Hb: 12.7g/dL

Hct: 39.6%

Plt: 244x10̂3 Lym: 23.1%

Lym count: 1.1 x 10̂3

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Lorem Ipsum DolorLorem Ipsum Dolor

$anagement

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Reassurance

Explain to the patient that her condition is most likelyviral and antibiotic is unnecessary. Reassure her it is nota serious condition and is self limiting.

Medication will be given to relieve her symptoms.

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Advice

Take plenty of rest.

Gargle with aspirin saline to soothe the pain. Keep well hydrated by drinking plenty of water.

Compliant to the medication given.

Try to stay at home and not go to crowded areas.

Wear mask to prevent from infecting others.

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Prescription *ased on the $cIsaac "core% anti'iotics should 'e prescri'ed to patients +ith a

history of sore throat if the sore is , -

 Therefore in the case of $s . % she +as prescri'ed +ith  T PC$ /g ta' 0123

 T 4ovatidine /5mg 123

"yp *enedryl /5ml &6

$edical Certi7cate is oered for / or - days

 

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Referral: No referral is necessary. Investigation: Full Blood Count was done.

Observation: Inform patient to come back to the clinic if

her condition worsen or the fever did not subside. Prevention:

1.Achieve ideal weight with Lifestyle modification

2.Health check up for hypertension and diabetes mellitus

3.PAP smear

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